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They understand how critical payments infrastructure is. It underpins supplier relationships, workforce continuity and regulatory compliance. The need to modernise is clear. Yet they are operating in an environment with virtually no tolerance for disruption, where failure has immediate operational and reputational consequences.

Across the UK healthcare sector - NHS organisations, private providers and critical suppliers - payment volumes are rising fast. One-off capital purchases are becoming recurring, subscription-based contracts. Agency staffing, specialist services and complex drug supply chains are generating more invoices, more exceptions and more pressure on finance teams already operating with limited headroom.

High-volume, low-value tasks are consuming disproportionate effort, while strategic work such as forecasting, risk management and supplier engagement is pushed to the margins.

At the same time, the stakes around payments are high. Healthcare suppliers are often not cash-rich. Delayed or inaccurate payments can destabilise care agencies, subcontractors and specialist providers that the system relies on.

In this context, the future of healthcare payments is not radical transformation, but in fact measured, low-risk modernisation.